Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
पवनस्योर्ध्वगामित्वात्ततश्छर्द्यरुचिज्वराः / हृद्रोगग्रहणीदोषमूत्रसंगप्रवाहिकाः
pavanasyordhvagāmitvāttataśchardyarucijvarāḥ / hṛdrogagrahaṇīdoṣamūtrasaṃgapravāhikāḥ
เพราะวายุเคลื่อนขึ้นเบื้องบน จึงเกิดอาเจียน เบื่ออาหาร และไข้; อีกทั้งโรคหัวใจ ความผิดปกติแห่งคฤหณี (ทางย่อยอาหาร) การขัดปัสสาวะ และอาการถ่ายเป็นมูกเป็นน้ำ (ประวาหิกา)
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Dosha: Vata
Concept: Causal reasoning in embodied life: directional disturbance of vāyu (ūrdhvagāmitva) generates multi-system pathology.
Vedantic Theme: Viveka in the empirical domain (vyavahāra): discerning causes and effects reduces bondage to suffering.
Application: When vomiting/anorexia/fever co-occur with urinary obstruction or bowel flux, consider a unifying vāta-directionality disturbance and treat holistically.
Primary Rasa: bhayanaka
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.156.48; Garuda Purana 1.156.49; Garuda Purana 1.156.51; Garuda Purana 1.156.52
This verse links an upward disturbance of vāyu to specific disease patterns—vomiting, anorexia, fever, cardiac trouble, grahaṇī disorders, urinary obstruction, and dysentery—showing how subtle vital forces manifest as bodily illness.
Indirectly: by describing vāyu’s abnormal movement, it reflects the Purana’s broader teaching that the subtle vital currents govern embodied experience; when disturbed, they produce suffering that can impede dharmic living and preparedness for death-rites.
Treat persistent digestive upset, vomiting, urinary retention, or dysentery as signals of systemic imbalance; adopt disciplined diet and conduct (and seek appropriate medical care) to maintain bodily steadiness for dharma and ritual life.